HDFC Standard Life Insurance Company Limited Non-Linked Non Participating Group Term Insurance Plan

Transcription

1 <<Date>> <<Master Policyholder s Name>> << Master Policyholder s Address>> << Master Policyholder s Contact Number>> Dear << Master Policyholder s Name>>, Part A Sub: Your Policy no. << >> We are glad to inform you that your proposal has been accepted and the HDFC Life Group Term Insurance Policy ( Policy ) being this Policy, has been issued. We have made every effort to design your Policy Document in a simple format. We have highlighted items of importance so that you may recognize them easily. Cancellation in the Free-Look Period: In case you are not agreeable to any of the provisions stated in the Policy, you have the option to return the Policy to us stating the reasons thereof, within 15 days from the date of receipt of the Policy. On receipt of your letter along with the original Policy document, we shall arrange to refund the Premium received less applicable statutory deductions. Contacting us: The address for correspondence is specified below. To enable us to serve you better, you are requested to quote your Policy number in all future correspondence. To contact us in case of any grievance, please refer to Part G. Thanking you for choosing HDFC Standard Life Insurance Company Limited and looking forward to serving you in the years ahead, Yours sincerely, Deputy Manager (HDFC Standard Life) Branch Address: <<Branch Address>> Agency Code: <<Agency Code>> Agency Name: <<Agency Name>> Agency Telephone Number: <<Agency mobile & landline number>> Agency Contact Details: <<Agency address>> Address for Correspondence: HDFC Standard Life Insurance Company Limited, 11 th Floor Lodha Excelus, Apollo Mills Compound, N.M. Joshi Marg, Mahalaxmi, Mumbai Registered Office: HDFC Standard Life Insurance Company Limited, Lodha Excelus, 13 th Floor, Apollo Mills Compound, Mahalaxmi Mumbai Contact number: /6215 Page 1 of 22

2 POLICY DOCUMENT- HDFC Life Group Term Insurance Unique Identification Number: << >> This document is the evidence of a contract between HDFC Standard Life Insurance Company Limited ( We ) and the Master Policyholder ( You ) as described in the Policy Schedule given below who shall hold the same and all Benefits payable thereunder upon trust for the benefit of the persons to whom the said Benefits are payable (i.e. Scheme Members, or their nominees). The Policy is issued pursuant to a proposal made to the Insurer by the Master Policyholder on the date shown in the Policy Schedule for the benefit of Scheme Members ( Proposal ). Upon and subject to timely receipt of Premium by the Insurer from the Master Policyholder, the Insurer shall pay to the Master Policyholder, the Benefits described in the Policy, subject to the terms of the Policy. All monies payable under the Policy to the Insurer, shall be payable in Indian Rupees at the office of the Insurer identified in the Policy Schedule. Notwithstanding the date of the Proposal and the date on which the Policy is signed, the Policy shall have effect or be deemed to be effective from the date shown in the Policy Schedule as the Effective Date. In witness whereof, this Policy is signed at the end of the Policy Schedule by a person duly authorised by the Insurer. Page 2 of 22

3 POLICY SCHEDULE 1. Master Policy Number: << system/operations generated>> 2. Date of Proposal: <<<< system/operations generated>> 3. Effective Date: << system/operations service generated>> 4. Master Policyholder: <<Name of Company/Group>> 5. Name of the Scheme: <NAME of Scheme> 6. Policy Provisions: The Standard Provisions set out in the booklet/policy and the Additional Provisions set out in their corresponding booklet/policy issued by the Insurer. 7. Effective Date / Latest Annual Renewal Date : <Date, Month and Year> 8. Next Annual Renewal Date: <Date, Month and Year> 9. Eligibility Criteria: 10. Minimum Entry Age [XX]: 11. Maximum Entry Age [YY]: 12. Normal Retirement Age: 13. Premium Payable in Advance: <Amount> 14. Tax and levies Payable in Advance: <Amount> 15. [Name of other levies] Payable in Advance: <Amount> 16. Frequency of Premium: << Annual/Half-yearly/ Quarterly/ Monthly >> 17. Sum Assured: As per Annexure 18. Riders selected: # Accidental Death benefit** Total Permanent Disability benefit** Total Permanent & Partial Disability benefit** HDFC Life Group Critical Illness Plus Rider *** ** Subject to a maximum of Rs. 1,00,00,000 *** Subject to a maximum of Rs. 50,00,000 # Details are given only for those riders selected Note: Rider benefit cannot exceed main benefit. Full member details as per Annexure 19. Office at which Monies are payable: HDFC Standard Life Insurance Company Limited,. IRDA Regn. No. 101,11 th Floor, Lodha Excelus, Apollo Mills Compound,N M Joshi Marg, Mahalaxmi, Mumbai ,Regd. Office: Lodha Excelus, 13 th Floor, Apollo Mills Compound,N M Joshi Marg, Mahalaxmi, Mumbai Signed at Mumbai on <<>> For HDFC Standard Life Insurance Company Limited Authorised Signatory In case you notice any mistake, you may return the Policy document to us for necessary correction. Consolidated Stamp Duty of Rs /-(Rupees One Hundred Only) paid by deface no dated 22-April-2016 Page 3 of 22

4 SPACE FOR ENDORSEMENTS Page 4 of 22

5 Part B (1) Actively at work- An employee of the Company is said to be Actively at Work if he/she meets both the conditions listed below: i. he/she is not absent on the grounds of ill health or maternity leave at the time of joining the Scheme and ii. he/she has not have availed any leave on the grounds of ill-health for a continuous period of fifteen (15) days or more in the previous Policy Year and/or year preceding his/her admission into the Scheme as applicable. (2) Company/Group/ Master Policyholder- means the Company/Group Named in the Schedule as the Master Policyholder. (3) Compulsory Participation- Under Compulsory participation it is mandatory that all the employees/members of the Company/Group are covered under this Policy provided they satisfy the eligibility criteria set out Part C Clause 2 (Eligibility) in the Policy. (4) COI means Certificate of Insurance issued by the Insurer to the Scheme Member. (5) Effective Date- means the date from which the Scheme shall first commence as set out in the Schedule. (6) Eligible Person- means, any person who has satisfied the eligibility criteria set out Part C Clause 2 (Eligibility) in the Policy. (7) Entry Date- in relation to a Scheme Member shall mean the actual date on which an Eligible Person is admitted by the Insurer as a Scheme Member. (8) Member Coverage Term- in respect of a Scheme Member, means a period of 12 months commencing from the Entry Date (9) Exit Date means the date on which the insurance cover of the Scheme Member ceases due to occurrence of any of the following events: a) Death of the Scheme Member, b) the Scheme Member ceases to satisfy the eligibility criteria, c) Master Policy being terminated or lapsed. d) End of Member Coverage Term. (10) Insurable Membership- means the period starting from the Entry Date and ending with Exit Date. (11) Insurer, Us, We- means HDFC Standard Life Insurance Company Limited. (12) the Insurance- shall mean the insurance effected on the life of the Scheme Member. (13) Lapsing Date- means the date determined by the Insurer from which the Policy shall lapse consequent to the Master Policyholder being in breach of any of its obligations under the Policy and the Insurer has not exercised its right of amendment in consequence of that breach; or all Scheme Members cease to be in Insurable Membership. (14) Latest Annual Renewal Date- is the date on which the Policy is last renewed by the Insurer and is specified in the Schedule. (15) Medical Practitioner is a person who holds a valid registration from the medical council of any state of India and is thereby entitled to practice medicine within its jurisdiction; and is acting within the scope and jurisdiction of his license. (16) Next Annual Renewal Date- is the date on which the term of the Policy is due for renewal and is specified in the Schedule. (17) Member Coverage Renewal Date - means the date on which the Member Coverage Term is due for renewal. (18) Nominee- means the person or persons who has/have been appointed by a Scheme Member to receive the death benefit under this Policy. (19) Normal Retirement Age- shall mean in the Policy, the age when an employee automatically retires from the services of the employer. (20) Other Entities-shall mean to include the entities other than Regulated Entities. (21) Other Levies- mean s any statutory tax or charge that the Insurer incurs when administering this Policy in the future due to changes in law. (22) Policy, Master Policy- means this Policy. (23) Policy Year- means a period starting with the Effective Date/Latest Annual Renewal Date and ending with the day before the Next Annual Renewal Date. (24) Regulated Entities- shall mean to include the following: a. Reserve Bank of India ( RBI ) regulated Scheduled Banks (including co-operative Banks), b. NBFCs having Certificate of Registration from RBI or c. National Housing Bank ( NHB ) regulated Housing Finance Companies. (25) Scheme- means the Scheme named in the Schedule. (26) Scheme Member- means an Eligible Person who is included in the Scheme as per the Scheme rules as member of that scheme. Page 5 of 22

6 (27) Sum Assured- means the amount payable under this Policy per Scheme Member upon death during Insurable Membership subject to terms, conditions and provisions of this Policy. (28) Service- means the period of continuous service rendered by the Scheme Member as an employee of the Master Policyholder. (29) Voluntary Participation- Under Voluntary Participation the employee(s)/member(s) of the Company/Group, who satisfy the eligibility criteria set out in the Policy, is provided an option to opt for the Term Insurance cover under this Policy provided by the Company/Group. (30) Words importing the masculine gender shall include the feminine gender. (31) Words in the singular shall include the plural and vice versa. (32) Any reference to a Clause or Clauses shall be construed as a reference to a Clause or Clauses of this Policy. Page 6 of 22

7 Part C 1. Benefits: (1) Benefits on Death- If the Scheme Member dies during Insurable Membership, subject to Policy being in force and all due Premiums, Tax and Levies been paid and subject to any restrictions or qualifications referred to in these Clauses, the amount specified in the Schedule as the Sum Assured for such Scheme Member shall become due to the Nominee of the Scheme Member. In case of a lender borrower scheme, the payment of Death Benefit shall be made to the Master Policyholder to the extent of the outstanding loan balance amount. The payment of Death Benefit to the Master Policyholder may be made by the Insurer subject to the below mentioned conditions and in compliance with guidelines set forth by IRDAI in this regard: i. The Master Policyholder is a Regulated Entity. ii. Scheme Members have specifically authorised the Insurer in a format provided by the Insurer to make payment of outstanding loan balance amount to the Master Policyholder from the total Death Benefit claim amount otherwise payable to the Nominee of the Scheme Member; iii. The Master Policyholder has collected written authorization from the Scheme Member and submitted the same to the Insurer; iv. Credit Account Statement has been provided by the Master Policyholder with details of Scheme Member as required by the Insurer and in formats provided by the Insurer; v. The Death Benefit claimed by the Master Policyholder is only to the extent of the outstanding loan balance; and vi. Where the Death Benefit is greater than the outstanding loan balance of the Scheme Member, the excess of the Death Benefit over such outstanding loan balance is paid to the Nominee of the Scheme Member. In case of Other Entities, the Death Benefit shall be payable to the Nominee, in the event of the Scheme Member s demise. Option to extend the insurance cover to the spouse The Master Policyholder has an option to extend the insurance cover to the spouse of the Scheme Members. The terms for spouse cover will be consistent with the terms applicable for Scheme Members of the Scheme. (2) Benefits on Surrender- In case of surrender of the Policy, an amount equal to the Premium for the unexpired term of the discontinuing Scheme Members less appropriate deduction for expenses, commission and taxes and levies as applicable would be payable. In case of such surrender of the Policy by Master Policyholder, the individual Scheme Member will be given an option to continue the Policy as an individual Policy till their coverage is terminated. 2. Eligibility: (1) <<Any person who satisfies all of the following conditions shall be eligible to participate in the Scheme. a) Person is not aged less than <XX> as set out in the Schedule, b) Person is not aged more than <YY> as set out in the Schedule, c) Person who satisfies further eligibility criteria, as may be specified in the Schedule by the Insurer, d) Person who satisfies the underwriting requirements of the Insurer on his/her Entry Date and e) In case of employer employee schemes, person whose relationship with Master Policyholder continues. (2) Continuing to participate in the Scheme. a) No Scheme Member shall withdraw from the Scheme so long as he satisfies the conditions of Eligibility described above. b) In case of employer employee schemes, if the relationship between the Scheme Member and the Master Policyholder terminates then the Scheme Member shall no longer be eligible to continue to participate in the Scheme.>> 3. Commencement of Insurance: (1) On the Effective Date and each Latest Annual Renewal Date, the Insurer shall grant Insurance in accordance with these Provisions in respect of each person who is an Eligible Person on that date and who is accepted by the Insurer as a Scheme Member. In the event of any other person becoming an Eligible Person during the Policy Year and the requisite Premium, Tax and Levies being received in full by the Insurer, he shall be accepted as a Scheme Member by the Insurer immediately on the Insurer being notified and being satisfied that such person has met all the conditions of eligibility. For this purpose the Master Policyholder shall notify the Insurer in writing in such form and at such times as shall be prescribed by the Insurer, the names and full particulars of the persons as soon as they meet the eligibility conditions. Page 7 of 22

8 (2) Under Voluntary Participation: If under the Scheme an Eligible Person is required to pay in part or in full, the Premium payable under the Policy, such Eligible Person shall have the option to join the Scheme only on the Effective Date. If an Eligible Person chooses not to join this Scheme on the Effective Date, he may do so thereafter on any Annual Renewal Date, only with the prior approval of the Insurer, which approval shall not be granted in normal circumstances. (3) Under Compulsory Participation: If under the Scheme an Eligible Person is not required to pay any part of the Premium, payable under the Scheme, he shall be compulsorily required to join the Scheme subject to underwriting. (4) Thereafter any person who becomes an Eligible Person, whether required to contribute or not, shall compulsorily become a Scheme Member with immediate effect of the Insurer being notified and satisfied of the same. (5) For non-employer-employee schemes, the Policy will continue indefinitely until terminated. The Scheme Members will be provided with risk cover on a yearly renewable basis with coverage renewing either on a Policy Anniversary or the Member Coverage Renewal Date depending on the option selected. 4. Provision of information: (1) Before assuring any benefit or increase in benefit under these Provisions in respect of an Eligible Person and to determine the rights and obligations of the Insurer under these Provisions, the Master Policyholder must provide the Insurer with such information, data and evidence as the Insurer considers necessary in such form as required/specified by the Insurer. (2) In the event of any change in the name or other particulars of a Scheme Member during a Policy Year, the Master Policyholder must inform the Insurer of the change within 15 days of being informed of the same by the said Scheme Member or on the Master Policyholder becoming aware of the same, whichever is earlier. (3) In the event of a Scheme Member ceasing to be eligible, the Master Policyholder must inform the Insurer of that event, within 30 days of that event. In the event of any person becoming an Eligible Person after the Effective Date, the Master Policyholder must inform the Insurer within 30 days of that event. However, the Insurer may at its discretion, condone the delay caused by the Master Policyholder in providing such information. (4) Subject to Section 45 of the Insurance Act 1938, as amended from time to time if in respect of a Scheme Member any information, data or evidence given to the Insurer proves to be incorrect, the particular Insurance in respect of such Scheme Member shall be rendered voidable, at the instance of the Insurer. (5) The Insurer shall not be liable for any loss of benefit resulting from errors in or omissions from any information, data or evidence given to the Insurer by the Master Policyholder. Where a loss of benefit is due to an error or omission by the Master Policyholder and the Insurer is required to pay for the benefit in full, the Insurer will pay the benefit in full and seek compensation for the error from the Master Policyholder. (6) The Insurer shall not admit a claim in respect of a Scheme Member under this Policy unless it receives the Scheme Members death certificate or such other document that the Insurer may decide, within the legal and regulatory framework in the circumstances of a particular case. The Insurer will not accept the aforesaid documents unless it is issued by a person duly authorized to issue the same. (7) The Master Policyholder shall arrange to submit to the Insurer evidence of age in respect of each Scheme Member at the time of entry into the Scheme, if required by the Insurer. (8) Satisfactory evidence of health as required by the Insurer shall be furnished by every Eligible Person at the time of his entry into the Scheme and on each occasion when an increase in Insurance is granted. The terms of acceptance may be varied if in the opinion of the Insurer the evidence of health is not satisfactory or other special hazards exist. 5. Premiums: (1) Prior to the Effective Date/Next Annual Renewal Date, the Insurer shall advise the Master Policyholder of the Premium, Tax and levies due, based on the information provided by the Master Policyholder. (2) For Scheme Members joining during the Policy Year will be charged the Premium proportionate to the duration the member is covered. Any applicable levies, taxes, duties or surcharges will also be charged. (3) For Scheme Members leaving the Scheme during the Policy Year or before the completion of the Member Coverage Term, a proportionate refund of the Premium after deducting any applicable levies & taxes would be made. (4) The amount of Sum Assured in respect of each Scheme Member may be revised on the Next Annual Renewal Date. The Master Policyholder can request to have the Sum Assured, in respect of a Scheme Member, revised before the Next Annual Renewal Date, a revision to the Sum Assured will be subject to the approval of the Insurer and payment of the additional premium. (5) The Premiums due would be valid for the relevant Policy Year and the Premium rates would be subject to change in each Policy Year. (6) The Premium, Tax, and Levies payable under these Clauses shall be payable by the Master Policyholder to the Insurer prior to the Effective Date or Premium due date in the case of Premiums paid more frequently than annually or within fifteen days of the date when Premium is due at renewal. In the case of any person who becomes an Eligible Person during the Policy Year, the Premium, Tax and Levies payable in respect of that person shall be due immediately. Such person shall not be accepted as Scheme Member by the Insurer until the requisite Premium, Tax and Levies has been received in full by the Insurer. Accordingly such person shall also not be covered up to the time the requisite Premium, Tax and Levies is received in full by the Insurer and no benefit would become payable for such period in respect of such person. The Clause 3 shall be subject to this condition. Page 8 of 22

9 (7) Premiums under the Policy can be paid on yearly, half-yearly, quarterly or monthly basis as per the chosen frequency of Premium Payment and as set out in the Policy Schedule or as amended subsequently. (8) In case a Scheme Member ceases to be an Eligible Person during the Policy Year, an amount equal to the Premium for the unexpired Member Coverage Term of the discontinuing Scheme Member less appropriate deduction for expenses, commission and taxes and levies as applicable would be payable. (9) There will be a grace period of 15 days for non-annual mode policies for the payment of each Premium after the initial Premium. If a Premium is not paid within the grace period then all benefits will lapse. Page 9 of 22

10 Part D 1. Breach of Provisions: a. If at any time the Master Policyholder is in breach of any of its obligations under these Clauses and the Insurer has not exercised its below mentioned right under Clause 6 to deem these Clauses to have lapsed, the Insurer may amend these Clauses and any related documents supplied to the Master Policyholder by the Insurer in such a way as it considers necessary to compensate for the breach. b. Before making any such amendment the Insurer shall inform the Master Policyholder of the amendment it intends to make. 2. Termination of Insurance: The Insurance on the life of a Scheme Member shall immediately terminate upon the happening of any of the following events and no benefits will be payable thereafter: a. non-payment of the Premium, Tax or Levies by the Master Policyholder when due, OR b. the Scheme Member reaching the Terminal Date. Additional Provisions describe the additional circumstances in which the Insurance will terminate. 3. Lapsing: a. No Sum Assured shall be payable on or after the Lapsing Date. b. The Insurer shall be responsible to honour any valid claims brought under this Policy in instances wherein the Master Policyholder has collected/ deducted the Premium but has failed to pay the same to the Insurer within the grace period due to administrative reasons. c. The Insurer shall (but without penalty for failure) inform the Master Policyholder of the ground on which it has deemed these Provisions to have lapsed and of the date determined by it as the Lapsing Date, and may voluntarily or upon request inform the Master Policyholder of the conditions, if any, upon which it is prepared to reinstate the Policy. The Insurer may consider requests from Master Policyholder to revive the lapsed policies, provided such requests are received within the outstanding period in the policy year. Any agreement to revive the Policy would be subject to the board approved underwriting policy. 4. Reinstatement: If the Premium is not received at the Scheme Renewal Date and the cover expires, the Insurer will consider requests from Master Policyholder to reinstate the Policy. Such reinstatement shall be as per the board approved underwriting policy. Reinstatements will be allowed only within 30 days of the renewal date. 5. Assignment or Transfer Assignment shall be as per the provisions of Section 38 of the Insurance Act, 1938, as amended from time to time. Simplified version of the provisions of Section 38 is enclosed in Annexure I for reference. 6. Nomination: The member of the Master Policyholder of a life insurance can nominate a person/ persons in accordance with Section 39 of the Insurance Act, 1938 as amended from time to time. Simplified version of the provisions of Section 39 is enclosed in Annexure II for reference 7. Terms and Conditions: a. The Insurer has the right to discontinue the Policy, on the Next Annual Renewal Date, with prior intimation, given in writing, to the Master Policyholder. On the same date, the Insurer also has the right to vary the Policy Provisions and the Schedule after intimating the Master Policyholder in writing. b. The Insurer shall conduct a surprise inspection of the records of the Master Policyholder to ensure compliance with these Policy Provisions and Scheme Rules or the Master Policyholder s auditors will certify compliance. 8. Other Provisions: a. The Master Policyholder will act for and on behalf of the Scheme Members in all matters relating to the Scheme and every act done by agreement made with and notice given to the Insurer by the Master Policyholder shall be binding on the Scheme Members. b. The Insurance effected in favour of the Master Policyholder has no paid up or maturity values. Any statutory levy or charges including any tax may be charged to the Master Policyholder either now or in future by the Insurer. Page 10 of 22

11 9. Loans: There is no facility of loan available from us under this Policy. 10. Free Look Cancellation: In case the Master Policyholder is not agreeable to any of the provisions stated in the Policy, the Master Policyholder has an option to return the Policy to the Insurer stating the reasons thereof, within 15 days from the date of receipt of the Policy. On receipt of your letter along with the original Policy document, we shall arrange to refund the Premium received less applicable statutory deductions. A Policy once returned shall not be revived, reinstated or restored at any point of time and a new proposal will have to be made for a new Policy. Page 11 of 22

12 1. Additional Servicing Charges Nil Part E Page 12 of 22

13 Part F 1. Exclusions: (1) Suicide claim provisions In case of employer-employee schemes, Sum Assured will be payable to the Nominee in case of death due to Suicide In case of other schemes, if the member dies due to suicide within 12 months from the date of joining the scheme, the Nominee of the Scheme Member shall be entitled to get 80% of the Premiums paid. 2. Death Claims Procedure: (1)The Master Policyholder shall inform the Insurer within 30 days of the death of a Scheme Member and shall file a claim with the Insurer on behalf of the Nominee of the deceased Scheme Member in the form prescribed by the Insurer and accompanied by all relevant documents as may be required by the Insurer, within 90 days from the date of death. However, the Insurer will condone the delay caused in intimation of claim where such delay is proved to be for reasons beyond the control of the claimant. (2) The Insurer shall pay the Claim amount in relation to the Death Benefit in the name of the Nominee of the deceased Scheme Member to the Master Policyholder who shall give a valid discharge/receipt for the same on behalf of the said Nominee to the Insurer. (3) The documents required for processing a claim are: Normal death i. Claim form; ii. Death Certificate issued by Municipal Authority/ Gram Panchayat / Tehsildar; iii. Cause of Death Certificate issued by the treating doctor; iv. A cancelled personalised cheque with account no. and IFSC code. Where the cheque is not personalised, a latest bank statement (not more than 3 months old) or copy of passbook (where account number and IFSC code is mentioned); v. Copies of Past and Current medical records (Indoor case paper, Admission notes, discharge summary) originally attested by hospital authorities; vi. Leave Records from the employera. In case of death within a Policy Year, leave records from the period 20 days prior to the date of joining the Scheme. b. In case of death after 1 year, the member's leave records for the period of past 180 days prior to the renewal date. vi. Any other document that the Insurer may decide, within the legal and regulatory framework in the circumstances of a particular case. Accidental / Unnatural Death i. Claim form ii. Death Certificate issued by Municipal Authority/ Gram Panchayat / Tehsildar; iii. Cause of Death Certificate issued by the treating doctor; iv. A cancelled personalised cheque with account no. and IFSC code. Where the cheque is not personalised, a latest bank statement (not more than 3 months old) or copy of passbook (where account number and IFSC code is mentioned); v. Leave Records from the employera. In case of death within a Policy Year, leave records from the period 20 days prior to the date of joining the Scheme. b. In case of death after 1 year, the member's leave records for the period of past 180 days prior to the renewal date. vi. Any other document that the Insurer may decide, within the legal and regulatory framework in the circumstances of a particular case. vii. Proof of Accidenta. Attested Copy of First Information Report; b. Attested Copy of Police Panchnama report; c. Attested Copy of Police Inquest report; d. Attested Copy of Postmortem report. 3. Issuance of Duplicate Policy: The Master Policyholder may request for a duplicate copy of the Policy at HDFC Life offices along with relevant documents. Additional charges may be applicable for issuance of the duplicate Policy. 4. Age Admitted Page 13 of 22

14 The Company has calculated the Premiums under the Policy on the basis of the age of the Life Assured as declared in the Proposal. In case You have not provided proof of age of the Life Assured with the Proposal, You will be required to furnish such proof of age of the Life Assured as is acceptable to us and have the age admitted. In the event the age so admitted ( Correct Age ) during the Member Coverage Term is found to be different from the age declared in the Proposal, without prejudice to our rights and remedies including those under the Insurance Act, 1938, as amended from time to time we shall take one of the following actions (i) if the Correct Age makes the Life Assured ineligible for this Policy, we will offer him suitable plan as per our underwriting norms. If you do not wish to opt for the alternative plan or if it is not possible for us to grant any other plan, the Policy will stand cancelled from the date of issuance and the Premiums paid under the Policy will be returned subject to the deduction of expenses incurred by the Company and the Policy will terminate thereafter; or (ii) if the Correct Age makes the Life Assured eligible for the Policy, the difference between the revised Premium, as per the Correct Age and the original Premium, with interest, will be due on the next Policy Anniversary date and the revised Premium will continue for the rest of the Premium Payment Term. The provisions of Section 45 of the Insurance Act, 1938 shall be applicable. 5. Incorrect Information and Non-Disclosure: Fraud, misrepresentation and forfeiture would be dealt with in accordance with provisions of Section 45 of the Insurance Act 1938 as amended from time to time. Simplified version of the provisions of Section 45 is enclosed in Annexure III for reference 6. Taxes (1) Indirect Taxes tax and levy shall be levied as applicable. Any taxes, statutory levy becoming applicable in future may become payable by you by any method including by levy of an additional monetary amount in addition to Premium and or charges. (2) Direct Taxes Tax will be deducted at the applicable rate from the payments made under the policy, as per the prevailing provisions of the Income Tax Act, Modification, Amendment, Re-enactment of or to the Insurance laws and rules, regulations, guidelines, clarifications, circulars etc. thereunder: (1) This Policy is subject to- (i) The Insurance Act, 1938, Amendments, modifications (including re-enactment) as may be made from time to time, and (ii) Other such relevant Regulations, Rules, Laws, Guidelines, Circulars, Enactments etc as may be introduced thereunder from time to time. (2) We reserve the right to change any of these Policy Provisions / terms and conditions in accordance with changes in applicable Regulations or Laws and where required, with IRDAI s approval. (3) We are required to obtain prior approval from the Insurance Regulatory and Development Authority of India before making any material changes to these provisions, except for changes of regulatory / statutory nature. (4) We reserve the right to require submission by You of such documents and proof at all life stages of the Policy as may be necessary to meet the requirements under Anti- money Laundering/Know Your Customer norms and as may be laid down by IRDAI and other regulators from time to time when the same are notified by the authorities for this/similar plans. 7. Notices: Any notice, direction or instruction given to Us, under the Policy, shall be in writing and delivered by hand, post, facsimile or from registered electronic mail ID to: HDFC Standard Life Insurance Company Limited, 11 th Floor, Lodha Excelus, Apollo Mills Compound, N.M. Joshi Marg, Mahalaxmi, Mumbai Registered Office: Lodha Excelus, 13 th Floor, Apollo Mills Compound, N.M. Joshi Marg, Mahalaxmi, Mumbai groupoperations@hdfclife.com Or such other address as may be informed by Us. Page 14 of 22

15 Similarly, any notice, direction or instruction to be given by Us, under the Policy, shall be in writing and delivered by hand, post, courier, facsimile or registered electronic mail ID to the updated address in the records of the Insurer. You are requested to communicate any change in address, to the Insurer supported by the required address proofs to enable the Insurer to carry out the change of address in its systems. The onus of intimation of change of address lies with the Master Policyholder. An updated contact detail of the Master Policyholder will ensure that correspondences from the Insurer are correctly addressed to the Master Policyholder at the latest updated address. 8. Jurisdiction: This Policy shall be governed by the laws of India and the Indian Courts shall have jurisdiction to settle any disputes arising under the Policy. 9. General: (1) Any information needed to administer the Policy must be furnished by the Master Policyholder. (2) If the information provided by the Master Policyholder in the application form is incorrect or incomplete, the Insurer reserves the right to vary the Benefits which may be payable. (3) The Master Policyholder will be responsible and liable for making payment, including payment of Benefits, in the appropriate form to the Scheme Member(s) or to his/her nominee or to another scheme as transfer value or to any annuity provider, as applicable. (4) The Insurer can check/inspect/audit, at any time, if the Benefits are being paid to the correct person as and when due. Page 15 of 22

16 Part G 1. Complaint Resolution Process: (i) The customer can contact us on the below mentioned number/id in case of any complaint/ grievance: Contact number: / groupoperations@hdfclife.com (ii) All grievances (Service and sales) received by the Insurer will be responded to within the prescribed regulatory Turn Around Time (TAT) of 14 days. (iii) Written request or from the registered id is mandatory. (iv) If required, we will investigate the complaints by taking inputs from the customer over the telephone or through personal meetings. (v) The following is the escalation matrix in case there is no response within the prescribed timelines or if you are not satisfied with the response. The number of days specified in the below- mentioned escalation matrix will be applicable from the date of escalation. Level Contact Response Time 1st Level grouptl@hdfclife.com 10 working days 2nd Level (for response not received fromgroupmanager@hdfclife.com Level 1) Final Level (for response not received fro grouphead@hdfclife.com Level 2) 10 working days 3 working days You are requested to follow the aforesaid matrix to receive satisfactory response from us. (vi) If you are not satisfied with the response or do not receive a response from us within 14 days, you may approach the Grievance Cell of IRDAI on the following contact details: IRDAI Grievance Call Centre (IGCC) TOLL FREE NO: ID: complaints@irda.gov.in Online- You can register your complaint online at Address for communication for complaints by fax/paper: Consumer Affairs Department Insurance Regulatory and Development Authority of India 9th floor, United India Towers, Basheerbagh Hyderabad , Telangana State (India) Fax No: In the event the Scheme Member is dissatisfied with the response provided by us, Scheme Member may approach the Insurance Ombudsman of that region. The contact details of the Insurance Ombudsman are provided below. Page 16 of 22

17 Details and addresses of Insurance Ombudsman: Office of the Contact Details Ombudsman AHMEDABAD 2nd Floor, Ambica House, Nr. C.U. Shah College, Ashram Road, AHMEDABAD Tel.: / Fax : bimalokpal.ahmedabad@gbic.co.in BHOPAL 2nd Floor, Janak Vihar Complex, 6, Malviya Nagar,Opp. Airtel, Near New Market, BHOPAL(M.P.) Tel.: /9202 Fax : bimalokpal.bhopal@gbic.co.in BHUBANESHWAR 62, Forest Park, BHUBANESHWAR Tel.: / Fax : bimalokpal.bhubaneswar@gbic.co.in Bengaluru 24th Main Road, Jeevan Soudha Bldg. JP Nagar, 1st Phase, Bengaluru Tel No: / CHANDIGARH S.C.O. No ,2nd Floor, Batra Building, Sector 17-D, CHANDIGARH Tel.: / Fax : bimalokpal.chandigarh@gbic.co.in CHENNAI Fathima Akhtar Court, 4th Floor, 453 (old 312), Anna Salai, Teynampet, CHENNAI Tel.: / Fax : bimalokpal.chennai@gbic.co.in NEW DELHI 2/2 A, Universal Insurance Bldg., Asaf Ali Road, NEW DELHI Tel.: / Fax : bimalokpal.delhi@gbic.co.in GUWAHATI Jeevan Nivesh, 5th Floor, Near Panbazar Overbridge, S.S. Road, GUWAHATI (ASSAM). Tel.: /5 Fax : bimalokpal.guwahati@gbic.co.in HYDERABAD , 1st Floor, Moin Court, A.C. Guards, Lakdi-Ka-Pool, HYDERABAD Tel : / Fax: bimalokpal.hyderabad@gbic.co.in Jaipur Ground Floor, Jeevan Nidhi II, Bhawani Singh Road, Jaipur Tel : bimalokpal.jaipur@gbic.co.in Areas of Jurisdiction Gujarat, Dadra & Nagar Haveli, Daman and Diu Madhya Pradesh & Chhattisgarh Orissa Karnataka Punjab, Haryana, Himachal Pradesh, Jammu & Kashmir, Chandigarh Tamil Nadu, Pondicherry Town and Karaikal (which are part of Pondicherry) Delhi Assam, Meghalaya, Manipur, Mizoram, Arunachal Pradesh, Nagaland and Tripura Andhra Pradesh, Telangana, Yanam and part of Territory of Pondicherry Rajasthan Page 17 of 22

18 KOCHI KOLKATA LUCKNOW MUMBAI Pune 2nd Floor, CC 27/2603, Pulinat Bldg., Opp. Cochin Shipyard, M.G. Road, ERNAKULAM Tel : / Fax : bimalokpal.ernakulam@gbic.co.in Hindustan Building. Annexe, 4th Floor, C.R. Avenue, KOLKATA Tel : / Fax : bimalokpal.kolkata@gbic.co.in Jeevan Bhawan, Phase-2, 6th Floor, Nawal Kishore Road, Hazaratganj, LUCKNOW Tel : / Fax : bimalokpal.lucknow@gbic.co.in 3rd Floor, Jeevan Seva Annexe, S.V. Road, Santacruz(W), MUMBAI Tel : / Fax : bimalokpal.mumbai@gbic.co.in 2nd Floor, Jeevan Darshan, N.C. Kelkar Road, Narayanpet, PUNE Tel: bimalokpal.pune@gbic.co.in Kerala, Lakshadweep, Mahe a part of Pondicherry West Bengal, Bihar, Jharkhand and Andaman & Nicobar Islands, Sikkim Uttar Pradesh and Uttaranchal Goa, Mumbai Metropolitan Region excluding Navi Mumbai & Thane Maharashtra Area of Navi Mumbai and Thane excluding Mumbai Metropolitan Region 3. Power of Ombudsman: The Ombudsman may receive and consider- (i) complaints under rule 13 of Redressal of Public Grievances Rules, 1998; (ii) any partial or total repudiation of claims by the Insurer; (iii) any dispute in regard to Premium paid or payable in terms of the Policy; (iv) any dispute on the legal construction of the Policy insofar as such disputes relate to claims; (v) delay in settlement of claims; (vi) non-issue of any insurance document to customers after receipt of Premium. 4. Manner in which complaint is to be made : (i) Master Policyholder who has a grievance against the Insurer, may himself or through his legal heirs make a complaint in writing to the Ombudsman within whose jurisdiction the branch or office of the Insurer complained against is located. (ii) The complaint shall be in writing duly signed by the complainant or through his legal heirs and shall state clearly the name and address of the complainant, the name of the branch or office of the Insurer against which the complaint is made, the fact giving rise to complaint supported by documents, if any, relied on by the complainant, the nature and extent of the loss caused to the complainant and the relief sought from the Ombudsman. (iii) No complaint to the Ombudsman shall lie unless - (a) The complainant had before making a complaint to the Ombudsman made a written representation to the Insurer named in the complaint and either the Insurer had rejected the complaint or the complainant had not received any reply within a period Page 18 of 22

19 of one month after the Insurer received his representation or the complainant is not satisfied with the reply given to him by the Insurer; (b) The complaint is made not later than one year after the Insurer had rejected the representation or sent its final reply on the representation of the complainant; and (c) The complaint is not on the same subject-matter, for which any proceedings before any court, or Consumer Forum or arbitrator is pending or were so earlier. Page 19 of 22

20 Annexure I Section 38 - Assignment or Transfer of Insurance Policies Assignment or transfer of a policy should be in accordance with Section 38 of the Insurance Act, 1938 as amended by Insurance Laws (Amendment) Act, The extant provisions in this regard are as follows: (1) This policy may be transferred/assigned, wholly or in part, with or without consideration. (2) An Assignment may be effected in a policy by an endorsement upon the policy itself or by a separate instrument under notice to the Insurer. (3) The instrument of assignment should indicate the fact of transfer or assignment and the reasons for the assignment or transfer, antecedents of the assignee and terms on which assignment is made. (4) The assignment must be signed by the transferor or assignor or duly authorized agent and attested by at least one witness. (5) The transfer or assignment shall not be operative as against an insurer until a notice in writing of the transfer or assignment and either the said endorsement or instrument itself or copy there of certified to be correct by both transferor and transferee or their duly authorised agents have been delivered to the insurer. (6) Fee to be paid for assignment or transfer can be specified by the Authority through Regulations. (7) On receipt of notice with fee, the insurer should Grant a written acknowledgement of receipt of notice. Such notice shall be conclusive evidence against the insurer of duly receiving the notice. (8) If the insurer maintains one or more places of business, such notices shall be delivered only at the place where the policy is being serviced. (9) The insurer may accept or decline to act upon any transfer or assignment or endorsement, if it has sufficient reasons to believe that it is (a) not bonafide or (b) not in the interest of the policyholder or (c) not in public interest or (d) is for the purpose of trading of the insurance policy. (10) Before refusing to act upon endorsement, the Insurer should record the reasons in writing and communicate the same in writing to Policyholder within 30 days from the date of policyholder giving a notice of transfer or assignment. (11) In case of refusal to act upon the endorsement by the Insurer, any person aggrieved by the refusal may prefer a claim to IRDAI within 30 days of receipt of the refusal letter from the Insurer. (12) The priority of claims of persons interested in an insurance policy would depend on the date on which the notices of assignment or transfer is delivered to the insurer; where there are more than one instruments of transfer or assignment, the priority will depend on dates of delivery of such notices. Any dispute in this regard as to priority should be referred to Authority. (13) Every assignment or transfer shall be deemed to be absolute assignment or transfer and the assignee or transferee shall be deemed to be absolute assignee or transferee, except a. where assignment or transfer is subject to terms and conditions of transfer or assignment OR b. where the transfer or assignment is made upon condition that i. the proceeds under the policy shall become payable to policyholder or nominee(s) in the event of assignee or transferee dying before the insured OR ii. the insured surviving the term of the policy Such conditional assignee will not be entitled to obtain a loan on policy or surrender the policy. This provision will prevail notwithstanding any law or custom having force of law which is contrary to the above position. (14) In other cases, the insurer shall, subject to terms and conditions of assignment, recognize the transferee or assignee named in the notice as the absolute transferee or assignee and such person a. shall be subject to all liabilities and equities to which the transferor or assignor was subject to at the date of transfer or assignment and b. may institute any proceedings in relation to the policy c. obtain loan under the policy or surrender the policy without obtaining the consent of the transferor or assignor or making him a party to the proceedings (15) Any rights and remedies of an assignee or transferee of a life insurance policy under an assignment or transfer effected before commencement of the Insurance Laws (Amendment) Act, 2015 shall not be affected by this section. Disclaimer: This is only the relevant extract of the Insurance Laws (Amendment) Act, Policy Holders are advised to refer to Insurance Laws (Amendment) Act, 2015 dated for complete and accurate details. Annexure II Section 39 - Nomination by member of the policy Nomination of a life insurance Policy is as below in accordance with Section 39 of the Insurance Act, 1938 as amended by Insurance Laws (Amendment) Ordinance dtd The extant provisions in this regard are as follows: (1) The member of the policyholder of a life insurance on his own life may nominate a person or persons to whom money secured by the policy shall be paid in the event of his death. Page 20 of 22

21 (2) Where the nominee is a minor, the member of policyholder may appoint any person to receive the money secured by the policy in the event of member s death during the minority of the nominee. The manner of appointment to be laid down by the insurer. (3) Nomination can be made at any time before the maturity of the policy. (4) Nomination may be incorporated in the text of the policy itself or may be endorsed on the policy communicated to the insurer and can be registered by the insurer in the records relating to the policy. (5) Nomination can be cancelled or changed at any time before policy matures, by an endorsement or a further endorsement or a will as the case may be. (6) A notice in writing of Change or Cancellation of nomination must be delivered to the insurer for the insurer to be liable to such nominee. Otherwise, insurer will not be liable if a bonafide payment is made to the person named in the text of the policy or in the registered records of the insurer. (7) Fee to be paid to the insurer for registering change or cancellation of a nomination can be specified by the Authority through Regulations. (8) On receipt of notice with fee, the insurer should grant a written acknowledgement to the member of the policyholder of having registered a nomination or cancellation or change thereof. (9) A transfer or assignment made in accordance with Section 38 shall automatically cancel the nomination except in case of assignment to the insurer or other transferee or assignee for purpose of loan or against security or its reassignment after repayment. In such case, the nomination will not get cancelled to the extent of insurer s or transferee s or assignee s interest in the policy. The nomination will get revived on repayment of the loan. (10) The right of any creditor to be paid out of the proceeds of any policy of life insurance shall not be affected by the nomination. (11) In case of nomination by member of the policyholder whose life is insured, if the nominees die before the member, the proceeds are payable to member of the policyholder or his heirs or legal representatives or holder of succession certificate. (12) In case nominee(s) survive the person whose life is insured, the amount secured by the policy shall be paid to such survivor(s). (13) Where the member of the policyholder whose life is insured nominates his a. parents or b. spouse or c. children or d. spouse and children e. or any of them the nominees are beneficially entitled to the amount payable by the insurer to the member of the policyholder unless it is proved that member of the policyholder could not have conferred such beneficial title on the nominee having regard to the nature of his title. (14) If nominee(s) die after the member of the policyholder but before his share of the amount secured under the policy is paid, the share of the expired nominee(s) shall be payable to the heirs or legal representative of the nominee or holder of succession certificate of such nominee(s). (15) The provisions of sub-section 7 and 8 (13 and 14 above) shall apply to all life insurance policies maturing for payment after the commencement of Insurance Laws (Amendment) Ordinance, 2014 (i.e ). (16) If member of the policyholder dies after maturity but the proceeds and benefit of the policy has not been paid to him because of his death, his nominee(s) shall be entitled to the proceeds and benefit of the policy. (17) The provisions of Section 39 are not applicable to any life insurance policy to which Section 6 of Married Women s Property Act, 1874 applies or has at any time applied except where before or after Insurance Laws (Ordinance) 2014, a nomination is made in favour of spouse or children or spouse and children whether or not on the face of the policy it is mentioned that it is made under Section 39. Where nomination is intended to be made to spouse or children or spouse and children under Section 6 of MWP Act, it should be specifically mentioned on the policy. In such a case only, the provisions of Section 39 will not apply. Disclaimer: This is only the relevant extract of the Insurance Laws (Amendment) Act, Policy Holders are advised to refer to Insurance Laws (Amendment) Act, 2015 dated for complete and accurate details. Page 21 of 22